| NPI | 1588827158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 19 000399) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 18 002711) |
| 106H00000X Marriage & Family Therapist (Licence: NY 06 000265) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |